Evidence mapPaperPMID 42001111Full record

Trial reportTrials2026

Randomized, double-blind, placebo-controlled study of oral duloxetine in prevention of acute pain syndrome in breast cancer patients receiving paclitaxel (DOPA study).

Jahnavi Banotra, Vrajesh Veenadhar Shetty, Sameer Bakhshi, Achal Kumar Srivastava, Sudeep Gupta, Akash Kumar, Prabhat Bhargava, Bharath Gangadhar, Payal Vasudeva, Kriti Pallavi and 6 more

Abstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Jahnavi Banotra *All India Institute of Medical Sciences, New Delhi, 110029, India.
Vrajesh Veenadhar Shetty *All India Institute of Medical Sciences, New Delhi, 110029, India.
Sameer BakhshiAll India Institute of Medical Sciences, New Delhi, 110029, India.
Achal Kumar SrivastavaAll India Institute of Medical Sciences, New Delhi, 110029, India.
Sudeep GuptaDepartment of Medical Oncology, Tata Memorial Centre, Mumbai, India.
Akash KumarAll India Institute of Medical Sciences, New Delhi, 110029, India.
Prabhat BhargavaDepartment of Medical Oncology, Tata Memorial Centre, Mumbai, India.
Bharath GangadharAll India Institute of Medical Sciences, New Delhi, 110029, India.
Payal VasudevaAll India Institute of Medical Sciences, New Delhi, 110029, India.
Kriti PallaviAll India Institute of Medical Sciences, New Delhi, 110029, India.
Kamesh BhatiAll India Institute of Medical Sciences, New Delhi, 110029, India.
Shlok SinghAll India Institute of Medical Sciences, New Delhi, 110029, India.
Neha VermaAll India Institute of Medical Sciences, New Delhi, 110029, India.
Mohit Kumar DivakarAll India Institute of Medical Sciences, New Delhi, 110029, India.
Hemavathi BaskaraneAll India Institute of Medical Sciences, New Delhi, 110029, India. drhemajip@gmail.com.
Atul BatraAll India Institute of Medical Sciences, New Delhi, 110029, India. batraatul85@gmail.com.ORCID http://orcid.org/0000-0002-1934-8408

Funding

All-India Institute of Medical Sciences No.F.5-59/IRG/2010/RS
6 · The paper itself

Abstract

backgroundAcute pain syndrome (APS) is a common side effect of paclitaxel therapy. To date, there is no standard of care to prevent APS in patients receiving paclitaxel. Through this study, we aim to assess whether oral duloxetine reduces the incidence of paclitaxel-induced APS (P-APS) as compared to placebo.

methodsThis is a multi-centric, randomized (1:1), double-blind, placebo-controlled, parallel-group superiority trial. A total of 204 patients with breast cancer planned to receive paclitaxel will be randomly assigned to receive either oral duloxetine or a matched placebo for 7 days after paclitaxel infusions for 4 cycles. The primary objective of the study is to compare the proportion of patients who develop P-APS in two groups. Key secondary objectives are to compare the quality of life (using the FACT-B scale), the incidence of peripheral neuropathy, the safety profile, and adherence with duloxetine. Patient-reported outcomes for P-APS and neuropathy will be assessed at the end of each cycle using BPI-SF and EORTC-CIPN20 questionnaires, respectively. DISCUSSION: The DOPA study is designed to evaluate whether oral duloxetine can reduce the occurrence of APS in patients receiving paclitaxel chemotherapy for breast cancer. Limited trials have assessed P-APS prevention using etoricoxib, dexamethasone, and pregabalin, but no pharmacological measure is effective. If the trial successfully meets its primary endpoint, oral duloxetine could become the new standard of care for preventing paclitaxel-induced APS.

trial registrationClinical Trials Registry of India - CTRI/2024/10/075636. Registered on 22 October 2024.

Indexed as

Acute PainAnalgesicsAntineoplastic Agents, PhytogenicBreast NeoplasmsDuloxetine HydrochloridePaclitaxelAdministration, OralAdultDouble-Blind MethodFemaleHumansMiddle AgedQuality of LifeTreatment OutcomeAnalgesicsAntineoplastic Agents, PhytogenicDuloxetine HydrochloridePaclitaxelAcute pain syndromeBreast cancerDuloxetineMyalgiaPaclitaxel

Identifiers

PMID42001111
PMCPMC13220629

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.